Association of childhood depressive symptoms behaviors with family factors

Abstract

Objective To explore the relationship between childhood depressive symptoms with behaviors and family factors, and to provide a new perspective for comprehensive treatment of depressive children. Methods A total of 58 children diagnosed with depressive disorder were recruited as case group in Department of Child Health, Affiliated Hospital of Qingdao University. At the same time, 88 healthy children were selected as age- and gender-matched control group. Depressive symptoms, behaviors and family factors in the two groups were investigated. SPSS 22.0 statistical software was used to describe and analyze the data. Results The total score of CBCL scale in the case group was significantly higher than that in the control group (43.29±30.93, 20.24 ±12.93, P 0.05). The scores of somatization, hostility and terror of SCL-90 in parents of children in case group were significantly higherthanthoseincontrolgroup (17.58±4.05, 15.81±4.00; 9.66±2.67, 8.69±2.45; 8.03±1.49, 7.50±0.88, P <0.05). The score of SDS scale was positively correlated with the total score of CBCL scale, the number of positive factors, introversion, extroversion, depression, compulsion, hyperactivity, aggression and social withdrawal, and negatively correlated with parents, marital status ( P <0.01). Conclusion Depression is a common emotional disorder in childhood, which has a negative impact on learning and social performance. In the comprehensive treatment of children with depression, the importance of child behavior therapy and parental psychological counseling should be fully considered for mental health improvement. 【摘要】 目的 探讨儿童抑郁症状与其自身行为表现及家庭因素之间的关系, 为抑郁患儿的综合防治提供新视角。 方法 从青岛大学附属医院儿童保健门诊招募 58 名诊断为抑郁状态的儿童作为病例组, 同期按年龄、性别匹配选择 88 名 健康儿童作为对照组, 采用抑郁自评量表 (Self-rating Depression Scale, SDS)、儿童行为量表 (Child Behaviour Checklist, CBCL)、症状自评量表 90 项 (Symptom Self-evaluation Scale, SCL–90) 调査两组儿童抑郁情绪表现、行为表现及家庭因素, 采 用 SPSS 22.0 软件对数据进行统计描述和分析。 结果 病例组儿童 CBCL 量表总得分髙于对照组儿童 (43.29±30.93, 20.24 ±12.93), 阳性因子数量髙于对照组 (2.57±3.14, 0.97±1.80), 差异均有统计学意义 ( t 值分别为6.17, 3.89, P 值均<0.01)。 病例组内向行为、外向行为、抑郁、强迫、多动、攻击及社交退缩得分髙于对照组 ( t 值分别为 3.70, 2.41, 5.68, 2.34, 2.25, 2.60, 2.29, P 值均<0.01)。病例组儿童家长 SCL–90 量表躯体化、敌对、恐怖得分髙于对照组 (17.58±4.05, 15.81±4.00;9.66 ±2.67, 8.69±2.45; 8.03± 1.49, 7.50±0.88) ( t 值分别为 2.33, 2.17, 2.40, P 值均<0.05)。儿童 SDS 量表得分与 CBCL 量表总得 分、阳性因子数量、内向行为、外向行为、抑郁、强迫、多动、攻击及社交退缩得分呈正相关, 与父母婚姻状况呈负相关 ( r 值 分别为 0.51, 0.42, 0.42, 0.30, 0.51, 0.29, 0.36, 0.32, 0.39, −0.31, P 值均<0.01)。 结论 抑郁症状是儿童普遍存在的情绪障 碍, 会对学习、社会生活能力等方面有明显影响。在抑郁儿童的综合防治中要充分考虑患儿行为干预、家长心理疏导等因 素, 以更好帮助儿童心理健康成长。